320 10th St Durarock 2014 CITY OF ATLANTIC BEACH
izl
l 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000326 Date 3/10/14
Property Address . . . . . . 320 10TH ST
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 1200
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Application desc
dry wall durarock
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Owner Contractor
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_ ------------------------
BRECHBILL ALAN L ED CARLYON CONSTRUCTION INC
3319 LIGHTHOUSE POINT LA 2588 KIRKWOOD COVE LN
SCHNEIDEREIT CAROL J JACKSONVILLE FL 32223
JACKSONVILLE BEACH FL 32250 (907) 219-8609
--- Structure Information 000 000 DURAROCK BATHROOM
Occupancy Type . . . . . . RESIDENTIAL
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Permit . . . . . . RESIDENTIAL ALT/OTHER
Additional desc . . . 00
Permit Fee . . . . 60 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 1200
Expiration Date . . 9/06/14
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Other Fees STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
Fee summary Charged Paid Credited Due
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Permit Fee Total 60 . 00 60 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 64 . 00 64 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845 /
Job Address: AO �� Permit Number:
Legal Description Parcel#
� av Floor Area o q. t. Sq.Ft
Valuation of Work$ Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration <2e air Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial Residential
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A
Florida Product Approval #
For multiple products use product approval form
:S
D cribe in detail the type of work to be performed:
Property Owner Information:
Name: Address:
City State_Zip Phone
E-Mail or Fax#(Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name dial Agent: —
Address: l od CityY State p;jLZLf3
Office Phone � Job Site/Contact Number Fax#
State Certification/Registration#
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a_period of six6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools, furnaces,Boilers,Heaters,
Tanks and Air Conditioners,etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereby certify that I have read and examined thi'sapplication and know the same to be true and correct. All provisions of laws and ordinances governing this
type o1 work will be complied with whether speci ied herein or not. The granting of a permit does not presume to give auth ity to violate or cancel the
provisions of arty other federal,state, or local law regulating construction or the performance of construction.
Signature of Owner Signature of Contract
Print Name Shirley C Gr mRifia ...... ..............................................................
.............. ........................... ..�... .
My commis n 088990
Before me V n.) Expires 0 me
this Day of 20 20
1 1 �. Ll\
Notary Public Not c
evised 01.26.10